| NPI | 1285977454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 255000) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: ZZ 89007) |
| Enumeration Date | 2013-04-05 |
| Last Update Date | 2013-07-16 |